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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The "spirit 8" successfully captured spiritual well-being in African palliative care: Factor and Rasch analysis
Journal of Clinical Epidemiology, Volume 65, No. 4, Year 2012
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Description
Objective: To describe the dimensionality of a measure of spiritual well-being (SWB) (the "Spirit 8") in palliative care (PC) patients in South Africa and Uganda, and to determine SWB in this population. Study Design and Setting: A cross-sectional survey was conducted using the Missoula Vitas Quality of Life Index (MVQOLI). Translated questionnaires were administered to consecutively recruited patients. Factor analysis and Rasch analysis were used to examine the dimensionality of eight items from the Well-being and Transcendent subscales. The resulting measure (the "Spirit 8") was used to determine levels of SWB. Results: Two hundred eighty-five patients recruited; mean age 40.1; 197 (69.1%) female; primary diagnosis HIV (80.7%), cancer (17.9%). Internal consistency of the eight-item scale was α = 0.73; Well-being factor α = 0.69, Transcendence factor α = 0.68. Rasch analysis suggested unidimensionality. Mean SWB score was 26.01 (standard deviation 5.68). Spiritual distress was present in 21.4-57.9%. Attending the Ugandan service, HIV and younger age were associated with poorer SWB scores. Conclusion: The Spirit 8 is a brief, psychometrically robust, unidimensional measure of SWB for use in South African and Ugandan PC research. Further research testing the Spirit 8 and examining the SWB of PC patients in South Africa and Uganda is needed to improve spiritual care. © 2012 Elsevier Inc. All rights reserved.
Authors & Co-Authors
Ellen Selman, Lucy Ellen
United Kingdom, London
King's College London
Siegert, Richard
United Kingdom, London
King's College London
Higginson, Irene J.
United Kingdom, London
King's College London
Agupio, Godfrey
Uganda, Kampala
Hospice Africa Uganda
Dinat, Natalya
South Africa, Johannesburg
University of the Witwatersrand
Downing, Julia D.
Uganda, Kampala
African Palliative Care Association
Gwyther, Liz
South Africa, Cape Town
Hospice Palliative Care Association of South Africa
Mashao, Thandi
South Africa, Cape Town
Faculty of Health Sciences
Mmoledi, Keletso
South Africa, Johannesburg
University of the Witwatersrand
Moll, Tony
South Africa, Kwazulu-natal
Church of Scotland Hospital
Sebuyira, Lydia Mpanga
Uganda, Kampala
Makerere University
Ikin, Barbara
South Africa, Pietermaritzburg
Msunduzi Hospice
Harding, Richard
United Kingdom, London
King's College London
Statistics
Citations: 33
Authors: 13
Affiliations: 9
Identifiers
Doi:
10.1016/j.jclinepi.2011.09.014
ISSN:
08954356
e-ISSN:
18785921
Research Areas
Cancer
Disability
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
South Africa
Uganda
Participants Gender
Female